SUPPLIER PREQUALIFICATION QUESTIONNAIRE FORM

SUPPLIER PREQUALIFICATION QUESTIONNAIRE FORM BRIEF This Supplier Pre Qualification Questionnaire is provided for the following project types of ALARGAN PROJECTS: 1) Supply of Construction Materials 2) Supply of Structural Materials 3) Supply of Finishing Materials 4) Services that use directly or indirectly in ALARGAN PROJECTS Company Projects. 5) Special Materials as per design criteria requirements. 6) Others In an effort to develop (Name of Project), we are taking steps to invite and communicate with Suppliers to participate in our program by developing information guidance and soliciting information for evaluating and establish Supplier s qualifications. ALARGAN PROJECTS requires interested bidders to establish proof of their competency and responsibility prior to submitting bids and has prepared a prequalification questionnaire as supplemental information for evaluating Suppliers. In order to become prequalified, the Supplier Pre Qualification Questionnaire Form, together with all of the required information as requested, must be submitted for review and succeed. If you are interested to prequalify your company by registration with ALARGAN PROJECTS Company, you are encouraged to do so as soon as possible. Sincerely yours; ALARGAN PROJECTS. MG/Supplier PQQF/Rev.00 Page 1 of 14

CHECK LIST You must be able to answer Yes to all of the below statements before you complete and submit your Pre Qualification Questionnaire and Financial Statements for review: I am interested in bidding on above mentioned ALARGAN PROJECTS. I am appropriately Registered and licensed in Saudi Arabia. I have either Compiled, Reviewed or Audited financial statements, dated within the last twelve (12) months. GENERAL INFORMATION AND INSTRUCTIONS IMPORTANT: PLEASE READ AND FOLLOW ALL INFORMATION & INSTRUCTIONS AND COMPLETE CAREFULLY. Suppliers bidding for ALARGAN PROJECTS, must be prequalified. In order to become prequalified, the Pre Qualification Questionnaire and required Financial Statements must be submitted for review and succeed. Once prequalified, Suppliers will retain that status for one (1) year following notification of qualification. A Supplier s status as a prequalified contractor may be automatically revoked for misrepresentation or falsification in the information submitted in the prequalification statement. Submittal of this questionnaire specifically authorizes ALARGAN PROJECTS to investigate or cause investigation of any and all statements made in this questionnaire and to use the information obtained in such investigation for reviewing and scoring the responses. All consult must answer all questions, fill in all blanks and provide the required references. If a particular question does not apply, the response must state Not Applicable (NA). False statements and /or omissions will disqualify Supplier from prequalifying, and other infractions as stated in this questionnaire may lead to suspension and subsequent termination of existing prequalification status and contracts with the ALARGAN PROJECTS. The Supplier must verify accuracy of answers in this questionnaire by affixing the signature of a person authorized to sign on behalf of the Supplier. Questionnaire may be obtained from ALARGAN PROJECTS Company Tendering Department or download from ALARGAN PROJECTS website WWW.ALARGAN.COM.SA. Completed questionnaires must be returned to ALARGAN PROJECTS to the following address: TENDERING DEPARTMENT ALARGAN PROJECTS P.O.BOX : 230412 RIYADH : 11321 Kingdom of Saudi Arabia. If you have any queries, or need additional information, or need any assistance, please don t hesitate to contact at Tel +966 92 000 67 89; Fax +966 1 486 00 19 or by email: tender@alargan.com.sa MG/Supplier PQQF/Rev.00 Page 2 of 14

THE PROCESS OF PRE QUALIFICATION 1. Supplier will complete and submit the Pre qualification Questionnaire form, along with appropriate information / statements / references. 2. ALARGAN PROJECTS staff will verify the information submitted in the questionnaire and statements. 3. ALARGAN PROJECTS staff will use standardized rating criteria to evaluate and score the questionnaire and will determine the Supplier s maximum bidding capacity. 4. Once pre qualified, Supplier will have one year eligibility to bid on ALARGAN PROJECTS Company various projects. 5. To continue eligibility bidding status annually, renewal of prequalified status is required. PRE QUALIFICATION REQUIREMENTS QUESTIONNAIRE Supplier must provide and meet approval on the following items: 1. Complete and submit the most current revision of the ALARGAN PROJECTS pre qualification questionnaire. 2. Have a current and active Saudi Arabia Supplier s license. 3. Meet General Qualification requirements. 4. Maintain pre qualification requirements. The questionnaire will be thoroughly evaluated by ALARGAN PROJECTS, taking into consideration the following factors: 1. Experience 2. Quality and workmanship 3. Delivery Time 4. Timeliness of past performance 5. Financial / Bonding resources to determine category and maximum project range 6. Licensing and Classifications 7. Trustworthiness, reliability and responsibility 8. Compliance with ALARGAN PROJECTS requirements (including technical, administrative, managerial and engineering experience). Above mentioned factors will be the basis of rating Suppliers with respect to the size and scope of contracts for which Suppliers are qualified to bid. All references supplied with this pre qualification request MUST be equal to the size and type of the projects that the Supplier wishes to bid on for the ALARGAN PROJECTS Project s and must reflect the type and size project that has previously been bonded by the Supplier. MG/Supplier PQQF/Rev.00 Page 3 of 14

ALARGAN PROJECT Company reserves the right to check other sources available. Omission of requested information can result in automatic disqualification. ALARGAN PROJECTS will apply a uniform system of rating Suppliers on the basis of adequately experienced, equipped and financed to meet their contractual obligations at the completion of previous each works projects. It is the responsibility of the Suppliers to ensure that they provide sufficient information about their firm and their Sub Suppliers to meet the prequalification requirements including experience and other things deemed necessary to determine their capabilities and receive a fair evaluation. Supplier MUST provide a reviewed or audited financial statement prepared by a licensed accountant. PLEASE BE ADVISED that in some instances where ALARGAN PROJECTS determines that there are substantial performance and/or other critical issues with a project, such as technicality and duration, a PRELIMINARY EVALUATION may be conducted during the course of bidding that project PRIOR to its awarding of such contract, and from that evaluation appropriate action will be taken. RENEWAL OF PRE QUALIFICATION Prequalification must be renewed yearly. It is the responsibility of each prequalified Supplier to submit a Prequalification Renewal Questionnaire at least thirty (30) days prior to expiration of the one year period so that prequalification status does not lapse. If the Renewal Questionnaire is not received at least 30 days prior to the expiration date of the existing prequalification, then the entire regular Prequalification Questionnaire must be submitted. This is an official document that is used to determine the qualifications of Suppliers to bid with the projects of ALARGAN PROJECTS Company. Any alternations of this document or fail to provide answers to all questions in complete will make your questionnaire invalid and it will not be accepted by the office of evaluation. MG/Supplier PQQF/Rev.00 Page 4 of 14

PRE QUALIFICATION QUESTIONNAIRE FORM SUPPLIER INFORMATION: NAME OF THE SUPPLIER : (Name must be as per registered with Saudi Ministry of Commerce) Complete Address : Business Telephone & Fax no. : : Applicant s Contact Person : Applicant s Contact Person Title : : Contact Information (mobile & email) : : COMMERCIAL REGISTRATION: C.R. No. : Date of Registration : Expiration Date : : Note: Attach a copy of Registration Certificate. Length of time in Business in Saudi Arabia : Years Registration type : Sole Owner Owner (s) Name : : Authorized Agency Owner (s) Name : : Partnership / Other Owner (s) Name : MG/Supplier PQQF/Rev.00 Page 5 of 14

STRUCTURE AND ORGANIZATION: Supplier is requested to provide details of his managerial and administrative staff (from director level down to managerial level. Please indicate the positions and names of staff as well as title and responsibilities. Supplier should highlight and provide details of the technical support and relevant experience in the relevant work. The persons who will be responsible for managing, supervising and carrying out the supply should be professionally qualified technical staff. BRANCHES, SHOWROOMS, FACTORIES: Supplier is requested to provide details of the numbers and location of each branch, showroom or factory inside / outside Saudi Arabia. Description Brach / Showroom / Factory Inside Saudi Arabia: Location Contact Info. Outside Saudi Arabia: MANPOWER: Supplier is required to provide details of the average annual number of manpower over the last five years. Please indicate if they are directly employed by the Supplier or Contracted. MG/Supplier PQQF/Rev.00 Page 6 of 14

SUPPLIER S WORK EXPERIENCE: In this section the Supplier will provide information Specific or in general for: Supplier Products / Brand Names / or Services and country of origin of ach Product in details: Product Description Brand Name Country of Origin Product Details Supplier Products / Services Delivery System: MG/Supplier PQQF/Rev.00 Page 7 of 14

Supplier Warranty System: Supplier Pricing & Competition Strategy: If your company provide a local material, are you a distributor or do you own a local factory for fabrication? If your company that produces a finished product, indicate here your daily and yearly production for each product: Product Description Daily Production Yearly Production MG/Supplier PQQF/Rev.00 Page 8 of 14

Indicate and identify here your capabilities to supply and provide huge quantities of your products in a short time if all conditions are available. Others please explain: MG/Supplier PQQF/Rev.00 Page 9 of 14

Evidence should highlight the Supplier s relevant experience in work contracts What were the three largest single contracts Suppliers has completed for each of the past five years Year 2010: Project Name : Worked as : Prime / Sub Supplier Type of work : Total value of Project (SAR) : Year 2009: Project Name : Worked as : Prime / Sub Supplier Type of work : Total value of Project (SAR) : Year 2008: Project Name : Worked as : Prime / Sub Supplier Type of work : Total value of Project (SAR) : Year 2007: Project Name : Worked as : Prime / Sub Supplier Type of work : Total value of Project (SAR) : Year 2006: Project Name : Worked as : Prime / Sub Supplier Type of work : Total value of Project (SAR) : Using the following table layout, please list major previous contracts within last five years. Project Name, Owner & Location Description of Project & Type of work Contract Value in SAR Lump sum / Cost Plus etc. Commencement Date Completion Date Remarks MG/Supplier PQQF/Rev.00 Page 10 of 14

SUPPLIER S REFERENCES: The Supplier is required to provide details for five suitable references: Projects MUST be relevant to nature / type of contracts Supplier requests for pre qualification. This reference information is to be used solely for ALARGAN PROJECTS pre qualification process for projects pursuant to ALARGAN PROJECTS and as such shall be considered confidential information. Supplier submittal of his references specifically authorizes ALARGAN PROJECTS to investigate, or cause investigation of, any and all statements made in this questionnaire and to use the information obtained in such investigation in reviewing and scoring the responses in this questionnaire. Reference 1 Project Name Project Value SAR Owner / Organization Name Contact Person Address Phone no. Fax. No. Mobile no. MG/Supplier PQQF/Rev.00 Page 11 of 14

Reference 2 Project Name Project Value SAR Owner / Organization Name Contact Person Address Phone no. Fax. No. Mobile no. Reference 3 Project Name Project Value SAR Owner / Organization Name Contact Person Address Phone no. Fax. No. Mobile no. MG/Supplier PQQF/Rev.00 Page 12 of 14

Reference 4 Project Name Project Value SAR Owner / Organization Name Contact Person Address Phone no. Fax. No. Mobile no. Reference 5 Project Name Project Value SAR Owner / Organization Name Contact Person Address Phone no. Fax. No. Mobile no. MG/Supplier PQQF/Rev.00 Page 13 of 14

SUPPLIERS AUTHORIZATION I certify that the information provided in this pre qualification questionnaire form is accurate to the best of my knowledge and I accept the conditions requested in the questionnaire. I understand and accept that the false information could result in exclusion from the pre qualification process or rejection of our bids. Name of Supplier : Company Stamp : Signed on Behalf of Supplier : Position / Title : Signature : Date : ALARGAN PROJECTS AUTHORIZATION / EVALUATION Verified by : Title : Signature : Date : MG/Supplier PQQF/Rev.00 Page 14 of 14